Capacity of Emergency Centres across Kenya to handle NCD emergencies

肯尼亚各地急救中心处理非传染性疾病紧急情况的能力

• 批准号: 10115209
• 负责人: Christine Ngaruiya
• 金额: $ 12.56万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-02-20 至 2023-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10115209
• 关键词: Accident and Emergency department; Acute; Address; Africa; African; Antihypertensive Agents; Aspirin; Cardiovascular Diseases; Caring; Catalogs; Cause of Death; Cessation of life; Chronic; Clinical; Communicable Diseases; Cost Allocation; Country; County; Critical Care; Critical Illness; Cross-Sectional Studies; Data; Data Collection; Data Set; Development; Diabetes Mellitus; Diagnosis; Diagnostic; Disease; Emergency Care; Emergency Medicine; Emergency Situation; Equipment; Equipment and Supplies; Foundations; General Population; Geographic Information Systems; Guidelines; Health Services Accessibility; Health care facility; Healthcare; Healthcare Systems; Human Resources; Hypertension; Income; Individual; Infrastructure; International; Intervention; Kenya; Literature; Long-Term Effects; Lung diseases; Malignant Neoplasms; Maps; Mission; Operative Surgical Procedures; Patients; Pharmaceutical Preparations; Play; Policy Developments; Population; Prevalence; Primary Health Care; Regression Analysis; Research; Resources; Resuscitation; Rewards; Risk; Risk Factors; Sampling; Services; Site; Source; Stroke; Sum; Testing; Time; Translating; United States National Aeronautics and Space Administration; Work; World Bank; World Health Organization; acute coronary syndrome; asthma exacerbation; barrier to care; cancer risk; care seeking; data repository; diabetes risk; high risk population; implementation intervention; improved; inclusion criteria; information system analysis; land cover; low and middle-income countries; novel; premature; programs; secondary analysis; therapy development; tool; trauma care; trend

7. PROJECT SUMMARY/ ABSTRACT Deaths due to Non-Communicable Diseases (NCDs) have surpassed those due to communicable diseases globally and are projected to do so in Africa by 2030. Of the 40 million annual global deaths due to NCDs, 75% occur in Low- and Middle-Income Countries (LMICs). As in other LMICs, the majority of the population in Kenya receives only episodic care. As such, the Emergency Department (ED) is a primary entry point to the healthcare system, and patients accessing care in the ED may not otherwise do so. A significant proportion of ED presentations are NCD-related such as acute coronary syndromes, strokes and asthma exacerbations. These conditions require timely and effective management in order to mitigate long-term effects of disease. In addition, the ED is an important site for identifying patients at risk for complications such as patients with undiagnosed/ untreated hypertension. Despite the volume of NCD care occurring in EDs, there is lack of data regarding the ability of EDs in LMICs to respond. In 2018, the Emergency Medicine Kenya Foundation conducted Project 47, which was a national, cross-sectional study of EDs in the 47 counties of the country. Two validated World Health Organization (WHO) tools were used, which assess infrastructure, human resources, supplies and other key factors for effective emergency, surgical and critical care. The assessment was successfully completed in a nationally representative sample of EDs in Kenya, an unprecedented feat in Africa, and the dataset includes key indicators pertaining to NCD care. The objective of our study is to assess capacity for NCD care using results from the Project 47 study. Our findings will be directly translated to clinical guideline, intervention, and policy development to improve acute and emergent NCD care in Kenya. They will also have direct implications throughout East Africa whose residents regularly seek care in the country. Finally, it will provide essential primary data to support development of NCD care across Africa.

7. 项目概要/摘要 非传染性疾病（NCD）造成的死亡人数已超过传染病造成的死亡人数 预计到 2030 年，非洲也会出现这种情况。全球每年有 4000 万人死于非传染性疾病，其中 75% 发生在低收入和中等收入国家 (LMIC)。与其他中低收入国家一样，大多数人口 肯尼亚仅接受临时护理。因此，急诊科 (ED) 是急救的主要切入点 否则，医疗保健系统和在急诊室接受护理的患者可能不会这样做。很大一部分 急诊科的表现与非传染性疾病相关，例如急性冠状动脉综合征、中风和哮喘发作。 这些情况需要及时有效的管理，以减轻疾病的长期影响。在 此外，急诊室是识别有并发症风险的患者（例如患有以下疾病的患者）的重要场所 未经诊断/未经治疗的高血压。尽管急诊室进行了大量非传染性疾病护理，但缺乏数据 关于中低收入国家 ED 的应对能力。 2018 年，肯尼亚急诊医学基金会 进行了项目 47，该项目是对该国 47 个县的 ED 进行的全国性横断面研究。 使用了两种经过验证的世界卫生组织 (WHO) 工具，用于评估基础设施、人力 资源、物资和其他有效急诊、外科和重症监护的关键因素。评估 在肯尼亚具有全国代表性的 ED 样本中成功完成，这是前所未有的壮举 非洲，数据集包括与非传染性疾病护理相关的关键指标。我们研究的目的是评估 使用 Project 47 研究的结果进行非传染性疾病护理的能力。我们的研究结果将直接转化为临床 指导、干预和政策制定，以改善肯尼亚的急性和紧急非传染性疾病护理。他们会 也对整个东非产生了直接影响，东非居民定期到该国寻求护理。最后， 它将提供重要的原始数据，以支持整个非洲非传染性疾病护理的发展。